Kaif Mohammed Yusuf Mansuri, MD | |
1006 S Division St, Carterville, IL 62918 | |
(618) 519-9200 | |
(618) 985-3774 |
Full Name | Kaif Mohammed Yusuf Mansuri |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 10 Years |
Location | 1006 S Division St, Carterville, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326429242 | NPI | - | NPPES |
036145712 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036145712 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lhc-illinois Home Health Care | Marion, IL | Home health agency |
Lbn Residential Home Health Of Southern Illinois | Marion, IL | Home health agency |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Anna Hospital Corporation D/b/a Union County Hospital | Anna, IL | Hospital |
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shawnee Health Service And Development Corp | 1658285671 | 37 |
Granite City Hospitalist Services Llc | 8527356591 | 10 |
Entity Name | Shawnee Health Service And Development Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454 |
Entity Name | Granite City Hospitalist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669926424 PECOS PAC ID: 8527356591 Enrollment ID: O20161006000282 |
Entity Name | Trinity Medical Staffing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770103426 PECOS PAC ID: 1759712698 Enrollment ID: O20200511000598 |
Mailing Address | Practice Location Address |
---|---|
Kaif Mohammed Yusuf Mansuri, MD 109 California St, Po Box 577, Carterville, IL 62918-0577 Ph: (618) 519-9200 | Kaif Mohammed Yusuf Mansuri, MD 1006 S Division St, Carterville, IL 62918 Ph: (618) 519-9200 |
Mr. Robert M Swayze, MSN, APN, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 W Plaza Dr, Carterville, IL 62918 Phone: 618-985-4344 Fax: 618-985-6469 | |
James E Wachter, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-985-4841 Fax: 618-985-8101 |